ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015
GPs asking patients to self-rate their health: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Exploring factors associated with self-rated health in individuals with diabetes and its impact on quality of life: Evidence from the Survey of Health, Ageing, and Retirement in Europe.Journal of diabetes · 2024Article
- Factors related to self-rated health: a survey among patients and their general practitioners.Scandinavian journal of primary health care · 2022Article
- The value of general health perception in health equity research: A community-based cohort study of long-term mortality risk (Finnmark cohort study 1987-2017).SSM - population health · 2021Article
- Self-rated health and the risk of incident type 2 diabetes mellitus: A cohort study.Scientific reports · 2019Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn epidemiological research, self-rated health is an independent predictor of mortality, cardiovascular diseases, and other critical outcomes. It is recommended for clinical use, but research is lacking.
aimTo investigate what happens in consultations when the question 'How would you assess your general health compared with others your own age?' is posed. DESIGN AND
settingAuthentic consultations with GPs at health centres in Sweden.
methodThirty-three planned visits concerning diabetes, pain, or undiagnosed symptoms were voice-recorded. Dialogue regarding self-rated health was transcribed verbatim and analysed using a systematic text condensation method. Speaking time of patients and doctors was measured and the doctors' assessment of the value of the question was documented in a short questionnaire.
resultsTwo overarching themes are used to describe patients' responses to the question. First, there was an immediate reaction, often expressing strong emotions, setting the tone of the dialogue and influencing the continued conversation. This was followed by reflection regarding their functional ability, management of illnesses and risks, and/or situation in life. The GPs maintained an attitude of active listening. They sometimes reported a slight increase in consultation time or feeling disturbed by the question, but mostly judged it as valuable, shedding additional light on the patients' situation and making it easier to discuss difficulties and resources. The patients' speaking time increased noticeably during this part of the consultation.
conclusionAsking patients to comparatively self-rate their health is an effective tool in general practice.
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